Mr Jonathan Roman, NURSE PRACTITIONER - Nurse Practitioner in Corona, NY

Mr Jonathan Roman, NURSE PRACTITIONER is a Nurse Practitioner - Psychiatric/mental Health based in Corona, New York. Mr Jonathan Roman is licensed to practice in New York (license number F404462-01) and his current practice location is 10467 44th Ave Apt 2, Corona, New York. He can be reached at his office (for appointments etc.) via phone at (917) 569-6742.

NPI number for Mr Jonathan Roman is 1164896874 and his current mailing address is 10467 44th Ave Apt 2, Corona, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164896874.

Contact Information

Mr Jonathan Roman, NURSE PRACTITIONER
10467 44th Ave Apt 2,
Corona, NY 11368-2597
(917) 569-6742
Not Available

Map and Direction




Provider's Profile

Full NameMr Jonathan Roman
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10467 44th Ave Apt 2, Corona, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164896874
  • Provider Enumeration Date: 11/18/2015
  • Last Update Date: 11/21/2022

Medical Identifiers

Medical identifiers for Mr Jonathan Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164896874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 704778-1 (New York)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health F404462-01 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan Roman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jonathan Roman, NURSE PRACTITIONER
10467 44th Ave Apt 2,
Corona, NY 11368-2597

Ph: (917) 569-6742
Mr Jonathan Roman, NURSE PRACTITIONER
10467 44th Ave Apt 2,
Corona, NY 11368-2597

Ph: (917) 569-6742

Reviews and Comments


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